Individual
MRS. BONNIE JEAN VAHLSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CCRN, FNP-BC
Contact information
Practice address
951 ROANOKE AVENUE, RIVERHEAD, NY 11901
(631) 727-7773
Mailing address
951 ROANOKE AVENUE, RIVERHEAD, NY 11901
(631) 727-7773
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
340340
NY
Other
Enumeration date
07/05/2016
Last updated
03/05/2024
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